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Those who have a diet containing a very high amount of calcium, like dairy products and fortified plant-based milks can also suffer with a B12 deficiency because calcium competes with B12 and interferes with its absorption

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3.3 Red blood cell deformability and Osmoscan RBC deformability, assessed by standard ektacytometry, increased post-race, as indicated by a significant rise in EImax (p = 0.017) and a significant reduction in SS1/2 (p = 0.041) (Figures 1A,B)